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1245678119
LEONNE MOIENT DERAVINE
NEW PORT RICHEY, FL
NPI
1245678119
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Former Name
LEONNE MOIENT REID
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner Adult Health
(Licence: FL ARNP9206891)
Enumeration Date
2013-06-12
Last Update Date
2024-06-18
Business Address
MRS. LEONNE MOIENT DERAVINE ARNP
6804 CECELIA DRIVE
NEW PORT RICHEY, FL 34653-4935
Phone number: 855-232-0644
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Mailing Address
MRS. LEONNE MOIENT DERAVINE ARNP
6804 CECELIA DRIVE
NEW PORT RICHEY, FL 34653-4935
Phone number: 855-232-0644
Copy
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